<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('区域')}:</label>
        <div class="col-xs-12 col-sm-8">
            <select name="row[numbertype]" id="c-numbertype" data-rule="required" class="form-control selectpicker">
                <option value="US" selected >US(美国)</option>
                <option value="EU" >EU(欧盟)</option>
                <option value="CA" >CA(加拿大)</option>
                <option value="AU" >AU(澳大利亚)</option>
                <option value="KR" >KR(韩国)</option>
                <option value="FR" >FR(法国)</option>
                <option value="DE" >DE(德国)</option>
            </select>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Number')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-number" class="form-control" name="row[number]" type="text" value="" readonly placeholder="选择区域自动生成{:__('Number')}">
        </div>
    </div>
    <input id="c-numberid" class="form-control" name="row[numberid]" type="hidden" value="" >

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('注册IP时间')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-iptime" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[iptime]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ip')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ip" class="form-control" name="row[ip]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Ippassword')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-ippassword" class="form-control" name="row[ippassword]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Email')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-email" data-rule="required" class="form-control" name="row[email]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Emailpassword')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-emailpassword" class="form-control" name="row[emailpassword]" type="text" value="" >
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('支付方式')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="checkbox">
                <label><input name="row[payment_method][]" type="radio" value="自动支付" /> 自动支付</label>
                <label><input name="row[payment_method][]" checked type="radio" value="手动支付" /> 手动支付</label>
            </div>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Admin_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-admin_id" data-field="nickname" data-source="auth/admin/index" class="form-control selectpage" name="row[admin_id]" type="text" value="2">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Account_address')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-account_address" data-order-by='id desc' data-field="name" data-source="feditionaccounturl/index" class="form-control selectpage" name="row[account_address]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Description')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-description" class="form-control" name="row[description]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Launch')}:</label>
        <div class="col-xs-12 col-sm-8">
            <textarea id="c-launch" class="form-control " rows="5" name="row[launch]" cols="50"></textarea>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Domain')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-domain" data-order-by='id desc' data-field="name" data-source="dnslist/index" class="form-control selectpage" name="row[domain]" type="text" value="" placeholder="请选择{:__('Domain')}">
        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
